Landes, Kelly Odea

Landes, Kelly Odea is an individual health care provider with primary practice located at 922 9 And A Half St , Charlottesville VA 22903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Landes, Kelly Odea can be contacted via phone (434) 981-4686.

Contact Information

Primary practice address
922 9 And A Half St Charlottesville VA 22903
Phone: (434) 981-4686
Fax: (434) 977-6323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005663 Virginia

Profile Details

NPI number 1710044292
LBN Legal business name Landes, Kelly Odea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710044292 NPPES
Other 11526617 CAQH

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